The term ventral abdominal wall hernia refers to herniation through the anterior abdominal wall and includes epigastric hernia, umbilical hernia, paraumbilical hernia, Spigelian hernia, lumbar hernia, incisional hernia, parastomal hernias and traumatic hernias. This study focuses on presence of peptic ulcers in patients presenting with epigastric, umbilical and paraumbilical hernias. Many of these hernias present painfully, where the pain should not be attributed to the hernia before ruling out gastrointestinal pathology such as peptic ulceration. AIM OF STUDY: The aim of this study is to find a correlation, if any, between non–traumatic, non surgical, true ventral abdominal wall hernias (viz. epigastric, umbilical and paraumbilical hernias) and acid peptic disease. MATERIALS AND METHODS: Fifty patients who presented to Thanjavur Medical College with Epigastric hernia, Umbilical hernia and Paraumbilical hernia were subjected to Upper GI endoscopy/ Oesophagogastroduodenoscopy to detect concomitant Acid Peptic Disease OBSERVATIONS AND RESULTS: Out of 50 patients admitted with ventral abdominal wall hernias subjected to UGI endoscopy, 40 patients had a normal scopy. However, 10 patients had one of antral erosion, duodenal erosion, prepyloric ulcer or duodenitis which can be considered as hallmarks of acid peptic disease, resulting in a correlation of 20% between ventral abdominal wall hernias and acid peptic disease. CONCLUSION: In spite of resultant correlation of 20%, this study is limited by need for larger sample size, confounding factors such as alcohol consumption, smoking, and NSAID intake. Hence further evaluation is needed to authoritatively comment on the exact figure of correlation.